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Medically Reviewed by Dr. Sarah Mitchell

Benzodiazepine Addiction Treatment Centers

Find treatment programs specializing in benzodiazepine dependence. Medical detox with gradual tapering is essential — cold turkey can be fatal.

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Alabama 198 Alaska 52 Arizona 387 Arkansas 142 California 2104 Colorado 412 Connecticut 298 Delaware 68 Florida 1287 Georgia 412 Hawaii 74 Idaho 98 Illinois 687 Indiana 378 Iowa 186 Kansas 164 Kentucky 312 Louisiana 218 Maine 142 Maryland 428 Massachusetts 498 Michigan 524 Minnesota 348 Mississippi 108 Missouri 342 Montana 82 Nebraska 128 Nevada 162 New Hampshire 112 New Jersey 524 New Mexico 148 New York 1342 North Carolina 478 North Dakota 58 Ohio 598 Oklahoma 218 Oregon 298 Pennsylvania 712 Rhode Island 92 South Carolina 198 South Dakota 64 Tennessee 342 Texas 1087 Utah 178 Vermont 68 Virginia 387 Washington 412 Washington DC 98 West Virginia 178 Wisconsin 328 Wyoming 42

Understanding Benzodiazepine Dependence

Benzodiazepine dependence often develops through legitimate medical prescriptions for anxiety, insomnia, or seizure disorders. Physical dependence can develop in as little as 2-4 weeks of daily use. An estimated 5.3 million Americans misuse benzodiazepines annually, and benzo-involved overdose deaths have increased significantly when combined with opioids.

Unlike most substances, benzodiazepine withdrawal requires a medically supervised taper rather than abrupt cessation. Cold-turkey discontinuation can trigger seizures, psychosis, and death — making professional treatment not just recommended but medically essential.

Medical Tapering Protocols

Evidence-based benzo detox follows a gradual dose reduction schedule, typically converting the patient to a long-acting benzodiazepine (diazepam) and reducing the dose by 5-10% every 1-2 weeks. The total taper duration depends on the starting dose, duration of use, and individual tolerance.

Sources & References

  1. [1] NIDA. Benzodiazepines and Opioids. 2024.
  2. [2] Ashton CH. Benzodiazepines: How They Work and How to Withdraw. 2002.
  3. [3] CDC. Benzodiazepine-Involved Overdose Deaths. 2024.

Benzo Rehab: Common Questions

Yes. Benzodiazepine withdrawal can cause life-threatening seizures. Never stop benzodiazepines cold turkey — a gradual medically supervised taper over weeks to months is essential. The risk level depends on the specific benzo, dose, duration of use, and whether alcohol is also involved.

Benzodiazepine detox/tapering typically takes 2-8 weeks for short-acting benzos (Xanax, Ativan) and up to several months for long-acting benzos (Valium, Klonopin). The Ashton Manual protocol is widely used, converting patients to diazepam (Valium) for a controlled, gradual taper.

The primary approach is a controlled taper using long-acting benzodiazepines (diazepam). Adjunct medications may include anticonvulsants (gabapentin, carbamazepine), antidepressants, and beta-blockers for anxiety symptoms. The taper must be individualized — too fast increases seizure risk.

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